Practice Technology

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A fully automated cell phone-based telemonitoring system that involves patients in their care significantly improved blood pressure control among patients who had diabetes and uncontrolled systolic hypertension, according to a study by Alexander G. Logan, MD, of the University of Toronto, and colleagues.

If you have a small or medium-sized practice, look for a toolkit in January from the federal agency for Healthcare Research and Quality designed to help you analyze workflow and redesign your practice before, during, and after you implement healthcare information technology (IT).

Be aware of the strengths and limitations of social networking sites such as Facebook when discussing sources of medical information with patients who have chronic diseases. That?s the advice from researchers at Harvard University and Brigham and Women?s Hospital who studied online communities related to diabetes and reported their findings recently in the Journal of General Internal Medicine.

Smartphone use will reach 1.4 billion in 5 years, according to research by research2guidance, and 500 million of those users will use healthcare-related applications.

An electronic message sent to doctors the moment they order a blood test for elderly patients reduces the unnecessary use of a test for which results often are false-positive for the elderly, according to research published in the November edition of American Journal of Managed Care.

Bridging the gap

The consequences of incomplete information at the point-of-care can be inconvenience, inefficiency, increased costss, and adverse, even life-threatening outcomes for patients.

Socioeconomic factors such as income and education levels, although strongly associated with broadband Internet use, are not the sole determinants of use, according to ?Digital Nation II,? a new report issued by the Department of Commerce?s Economics and Statistics Administration and National Telecommunications and Information Administration.

The American Medical Association has adopted a new policy in an effort to help physicians maintain a positive online presence and preserve the integrity of the patient-physician relationship.

Medical practices lag behind hospitals in their past efforts and future plans to address security issues related to electronic health records, according to responses to the 2010 HIMSS Security Survey, sponsored by Intel and supported by the Medical Group Management Association.

By day, Michael Sevilla, MD, is a family physician in the small northeastern Ohio town of Salem, about 20 miles west of the Pennsylvania border. But at night, between visits, and during his lunch break, he's "Dr. Anonymous," posting updates to his blog of the same name, checking his Facebook page and Twitter feed, or recording his latest Web-based radio show.

Socially awkward

Daniel Z. Sands, MD, a practicing general internist, spoke at the American Academy of Family Physicians' Scientific Assembly about how engaging patients online can improve treatment adherence, lifestyle improvements, and outcomes.

Web visit service expands

More than 6 million New York residents will have access to Web camera or telephone physician encounters, according to BlueCross BlueShield of Western New York and American Well.

One-third of 272 hospitals and practices surveyed that use an electronic health record system reported at least 1 known case of medical identity theft at their organization, according to results from HIMSS.

Gadget glory

Review 10 of the latest devices in Medical Economics' annual list of new technology products for practice.

The transition from paper to electronic health records may be a challenge, but it is worth the effort, says David Blumenthal, MD, national coordinator for Health Information Technology, who spoke during the annual conference of the Medical Group Management Association in October.

Under increasing pressure from third-party payers and facing the uncertainty of healthcare reform, physicians have been able to find some comfort in stable, or, in some cases, declining medical liability premiums.

The traditional model of innovation in the medical technology industry, which includes iterative product improvements driven by physician collaboration and interaction, is being affected by new restrictions on products eligible for 510(k) marketing clearance, according to Pulse of the Industry: Medical Technology Report 2010, Ernst & Young?s annual report on the industry?s performance.